| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344,236 |
326,090 |
$14.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
202,128 |
188,513 |
$6.72M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
189,990 |
73,858 |
$5.17M |
| 99223 |
Prolong inpt eval add15 m |
44,576 |
42,812 |
$3.46M |
| 99233 |
Prolong inpt eval add15 m |
82,278 |
37,644 |
$3.12M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
38,225 |
36,484 |
$1.63M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
11,762 |
6,255 |
$976K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27,161 |
25,900 |
$886K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15,483 |
14,941 |
$851K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,670 |
12,638 |
$744K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,406 |
11,250 |
$730K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,382 |
8,330 |
$642K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39,857 |
15,316 |
$630K |
| 99215 |
Prolong outpt/office vis |
8,760 |
8,427 |
$617K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12,154 |
9,132 |
$496K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,420 |
8,364 |
$485K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,742 |
7,688 |
$400K |
| 76830 |
Ultrasound, transvaginal |
8,169 |
4,861 |
$397K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36,844 |
36,303 |
$378K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
8,233 |
4,905 |
$359K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
10,694 |
6,889 |
$351K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
35,557 |
35,057 |
$337K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
19,772 |
14,522 |
$294K |
| 92586 |
|
3,898 |
3,631 |
$278K |
| 76801 |
|
4,732 |
2,769 |
$251K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
6,508 |
4,661 |
$239K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,603 |
2,154 |
$198K |
| 97803 |
|
4,982 |
4,801 |
$196K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,980 |
9,448 |
$196K |
| 93000 |
|
25,404 |
24,941 |
$189K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,132 |
3,118 |
$187K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,236 |
2,202 |
$173K |
| 31231 |
|
2,332 |
2,288 |
$169K |
| 62323 |
|
3,789 |
3,734 |
$156K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
6,808 |
3,848 |
$155K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,686 |
1,680 |
$143K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
11,160 |
7,758 |
$128K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,742 |
1,725 |
$115K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,507 |
3,393 |
$110K |
| 92650 |
|
4,579 |
4,258 |
$105K |
| 99443 |
|
10,515 |
10,008 |
$96K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,560 |
1,856 |
$92K |
| 99220 |
|
1,289 |
1,281 |
$92K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,151 |
4,913 |
$85K |
| 76813 |
|
1,683 |
1,225 |
$85K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,690 |
1,049 |
$84K |
| 20610 |
|
4,181 |
3,560 |
$84K |
| 93307 |
|
2,881 |
2,556 |
$82K |
| 99292 |
|
1,762 |
1,213 |
$77K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
23,873 |
20,105 |
$67K |
| 99407 |
|
2,614 |
2,483 |
$65K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,266 |
1,674 |
$60K |
| 90674 |
|
2,788 |
2,753 |
$58K |
| 98968 |
|
2,004 |
1,929 |
$54K |
| 99188 |
|
2,068 |
2,065 |
$54K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
941 |
910 |
$52K |
| 97597 |
|
4,173 |
2,521 |
$47K |
| 99205 |
Prolong outpt/office vis |
490 |
489 |
$45K |
| 95251 |
|
3,064 |
2,795 |
$44K |
| 95816 |
|
1,738 |
1,622 |
$41K |
| 99221 |
|
939 |
911 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,989 |
2,762 |
$37K |
| 43775 |
|
66 |
66 |
$35K |
| 0002A |
|
727 |
727 |
$33K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
230 |
230 |
$30K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
764 |
728 |
$29K |
| 64483 |
|
523 |
501 |
$29K |
| 99442 |
|
3,692 |
3,418 |
$27K |
| 0001A |
|
637 |
633 |
$27K |
| 99173 |
|
1,217 |
1,206 |
$27K |
| J1756 |
Injection, iron sucrose, 1 mg |
762 |
517 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,070 |
4,925 |
$24K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$24K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
439 |
435 |
$22K |
| 46600 |
|
373 |
371 |
$22K |
| 93297 |
|
1,908 |
1,888 |
$21K |
| 0012A |
|
448 |
448 |
$20K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
214 |
210 |
$18K |
| 0011A |
|
408 |
408 |
$18K |
| 98967 |
|
995 |
974 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,710 |
2,865 |
$17K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
20 |
20 |
$17K |
| 99235 |
|
287 |
272 |
$17K |
| 64493 |
|
379 |
345 |
$16K |
| 99236 |
Prolong inpt eval add15 m |
193 |
190 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
393 |
392 |
$15K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
264 |
251 |
$14K |
| 80305 |
|
2,515 |
2,389 |
$14K |
| 51798 |
|
2,062 |
2,023 |
$13K |
| 59514 |
|
14 |
14 |
$13K |
| 92557 |
|
541 |
532 |
$13K |
| 99219 |
|
240 |
237 |
$13K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
162 |
157 |
$13K |
| 99460 |
|
125 |
125 |
$13K |
| 99307 |
|
1,443 |
1,077 |
$12K |
| 93224 |
|
193 |
190 |
$10K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
16 |
14 |
$10K |
| 99310 |
Prolong nursin fac eval 15m |
296 |
239 |
$10K |
| 93923 |
|
387 |
284 |
$9K |
| 93296 |
|
1,110 |
1,088 |
$9K |
| 90686 |
|
889 |
843 |
$9K |
| 93295 |
|
578 |
560 |
$9K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
642 |
639 |
$9K |
| 97802 |
|
113 |
113 |
$9K |
| 64494 |
|
367 |
329 |
$8K |
| 94060 |
|
1,311 |
1,295 |
$8K |
| ATP17 |
|
719 |
719 |
$8K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
212 |
207 |
$7K |
| 93880 |
|
251 |
203 |
$7K |
| 90688 |
|
704 |
695 |
$7K |
| 92551 |
|
692 |
677 |
$7K |
| 64484 |
|
297 |
230 |
$7K |
| 76820 |
|
357 |
190 |
$7K |
| 20552 |
|
468 |
453 |
$6K |
| 93016 |
|
620 |
612 |
$6K |
| 81025 |
|
1,007 |
938 |
$6K |
| 90756 |
|
300 |
293 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
270 |
265 |
$6K |
| 92567 |
|
572 |
566 |
$6K |
| 94726 |
|
1,059 |
1,043 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,305 |
1,217 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
127 |
126 |
$5K |
| 94729 |
|
1,153 |
1,128 |
$5K |
| 93018 |
|
673 |
667 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
306 |
300 |
$4K |
| 31254 |
|
12 |
12 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
79 |
65 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
52 |
52 |
$4K |
| 90694 |
|
155 |
155 |
$4K |
| 99462 |
|
84 |
57 |
$4K |
| ATP03 |
|
1,025 |
1,025 |
$4K |
| 99234 |
|
79 |
75 |
$3K |
| 90961 |
|
40 |
40 |
$3K |
| 95886 |
|
125 |
111 |
$3K |
| 20553 |
|
227 |
226 |
$3K |
| 27096 |
|
64 |
63 |
$3K |
| 81002 |
|
1,787 |
1,614 |
$3K |
| 96127 |
|
1,761 |
1,693 |
$3K |
| 99397 |
|
156 |
156 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
1,188 |
1,118 |
$3K |
| 11045 |
|
65 |
37 |
$3K |
| 20550 |
|
132 |
130 |
$3K |
| 99217 |
|
78 |
77 |
$3K |
| 92587 |
|
186 |
186 |
$3K |
| 17250 |
|
161 |
120 |
$3K |
| 90653 |
|
324 |
265 |
$3K |
| 95812 |
|
104 |
100 |
$3K |
| 93971 |
|
172 |
152 |
$2K |
| 30140 |
|
12 |
12 |
$2K |
| 31237 |
|
13 |
13 |
$2K |
| 82962 |
|
4,007 |
3,867 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
499 |
494 |
$2K |
| 98927 |
|
143 |
142 |
$2K |
| ATP14 |
|
187 |
182 |
$2K |
| 43235 |
|
39 |
37 |
$2K |
| 99417 |
Prolong home eval add 15m |
81 |
76 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
89 |
38 |
$2K |
| 54150 |
|
24 |
24 |
$2K |
| 31256 |
|
12 |
12 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
521 |
508 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
293 |
241 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
27 |
27 |
$1K |
| 93294 |
|
191 |
190 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
58 |
58 |
$1K |
| 99385 |
|
27 |
27 |
$1K |
| 93970 |
|
89 |
86 |
$1K |
| 62321 |
|
28 |
27 |
$1K |
| 59025 |
Fetal non-stress test |
35 |
25 |
$1K |
| 96415 |
|
73 |
50 |
$973.08 |
| 31575 |
|
24 |
24 |
$947.59 |
| 76376 |
|
83 |
53 |
$935.34 |
| 99318 |
|
17 |
17 |
$913.70 |
| 98928 |
|
45 |
45 |
$881.29 |
| 85610 |
|
391 |
229 |
$865.94 |
| 36416 |
|
2,349 |
2,236 |
$858.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
56 |
55 |
$829.32 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
68 |
39 |
$782.86 |
| 80061 |
Lipid panel |
883 |
861 |
$767.33 |
| 84443 |
Thyroid stimulating hormone (TSH) |
53 |
53 |
$760.78 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
57 |
57 |
$752.27 |
| 99381 |
|
12 |
12 |
$716.56 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
55 |
53 |
$697.38 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
300 |
294 |
$656.60 |
| 64495 |
|
28 |
26 |
$655.60 |
| 95800 |
|
26 |
26 |
$642.46 |
| 80053 |
Comprehensive metabolic panel |
1,003 |
971 |
$631.40 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
26 |
25 |
$623.82 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
440 |
404 |
$573.04 |
| 87428 |
|
13 |
12 |
$508.72 |
| 93298 |
|
48 |
48 |
$500.66 |
| 1160F |
|
81,967 |
77,137 |
$453.83 |
| 3008F |
|
86,719 |
82,793 |
$426.12 |
| 81003 |
|
407 |
380 |
$415.27 |
| 3078F |
|
52,188 |
50,187 |
$404.30 |
| 99401 |
|
13 |
13 |
$403.78 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
254 |
240 |
$391.05 |
| 36415 |
Collection of venous blood by venipuncture |
1,469 |
1,368 |
$371.84 |
| 1159F |
|
80,204 |
75,453 |
$327.95 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
92 |
87 |
$320.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$306.18 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
219 |
165 |
$277.49 |
| 85018 |
|
194 |
188 |
$254.64 |
| 73030 |
|
22 |
14 |
$223.03 |
| 94727 |
|
32 |
30 |
$214.19 |
| 93227 |
|
12 |
12 |
$213.68 |
| 1036F |
|
71,587 |
67,433 |
$183.83 |
| 99497 |
|
23 |
21 |
$179.25 |
| 90662 |
|
52 |
52 |
$168.03 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
12 |
$159.99 |
| 94760 |
|
115 |
111 |
$156.60 |
| J7050 |
Infusion, normal saline solution, 250 cc |
309 |
198 |
$153.90 |
| 99441 |
|
17 |
17 |
$140.01 |
| 93308 |
|
14 |
12 |
$138.39 |
| ATP18 |
|
13 |
13 |
$131.64 |
| 3074F |
|
57,792 |
55,272 |
$112.24 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
51 |
50 |
$107.47 |
| 77002 |
|
16 |
14 |
$92.91 |
| 91301 |
|
831 |
827 |
$90.94 |
| 81001 |
|
37 |
37 |
$85.20 |
| 85027 |
|
14 |
12 |
$81.48 |
| 82044 |
|
28 |
28 |
$55.97 |
| 99383 |
|
31 |
31 |
$49.05 |
| 73630 |
|
12 |
12 |
$44.16 |
| 82947 |
|
12 |
12 |
$32.40 |
| 3079F |
|
8,556 |
8,322 |
$23.17 |
| 99001 |
|
143 |
143 |
$18.00 |
| 99152 |
|
14 |
13 |
$16.54 |
| 93325 |
|
12 |
12 |
$16.24 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
13 |
$8.57 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
25 |
$7.66 |
| 3075F |
|
3,887 |
3,804 |
$0.11 |
| 3725F |
|
6,145 |
6,015 |
$0.00 |
| 3077F |
|
2,021 |
1,928 |
$0.00 |
| 1158F |
|
94 |
91 |
$0.00 |
| 3288F |
|
761 |
484 |
$0.00 |
| 91300 |
|
1,337 |
1,073 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
27 |
$0.00 |
| 99382 |
|
14 |
14 |
$0.00 |
| 1100F |
|
16 |
16 |
$0.00 |
| 0502F |
|
21 |
12 |
$0.00 |
| 1034F |
|
3,417 |
3,193 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
18 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
929 |
904 |
$0.00 |
| 3061F |
|
355 |
342 |
$0.00 |
| 1125F |
|
159 |
142 |
$0.00 |
| 1126F |
|
1,092 |
769 |
$0.00 |
| 3044F |
|
355 |
343 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
60 |
57 |
$0.00 |
| 3080F |
|
244 |
236 |
$0.00 |
| 00000 |
|
777 |
173 |
$0.00 |
| 1170F |
|
84 |
81 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
232 |
208 |
$0.00 |
| 1101F |
|
79 |
77 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
42 |
26 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
27 |
12 |
$0.00 |
| 4010F |
|
117 |
110 |
$0.00 |